1. Dementia: Engaging Societies Around the World 24 th Conference of Alzheimer’s Disease International Singapore, 25-28 th March 2009 Enabling success in creative expression Hilary Lee MSc, OTR Chair, The Society for the Arts In Dementia Care (Australia) Inc., Researcher and Co Developer, Dementia Care Australia

2. Art makes the invisible visible Paul Klee

3. What is success in creative expression? Enabling expression of spirit and soul Facilitating communication in new ways Providing a connection with others Boosting wellbeing, counteracting depression Enabling the sharing of wisdom Providing meaning in life

4. The Tapestry A grant from a community arts council funded the art worker to facilitate project Local high school invited to be part of the project Teaching session to orientate the students

5. The Process Local film makers were invited to make a film about this project 15 students visited 15 residents for 2 hours/week over 8 weeks. Students paired up with residents The students reminisced with the residents to find their cherished memories and dreams They then worked with them to weave their stories into the tapestry

6. The key to success

7. Process

8. ‘ Holidays with my family’

9. ‘I always wanted a rocking horse ’

10. ‘One of my eight Jaguar cars’

11. Evaluating the project Methods used: Wellbeing profiles Functional assessment Weekly diary of observations Students completing a feedback questionnaire Informal interviews with residents

12. The Creative -Expressive Abilities Assessment Tool Observe clients’ creative abilities in a systematic way and monitor any changes over time Have a document with reliable results for reporting in meetings Staff/volunteers were surprised and delighted by the abilities demonstrated by the clients Staff inspired to find new ways to enable more independence Staff experienced a desire to ‘raise the bar’ in dementia care (www.dementia-activities.com)

13. Improvements in wellbeing Specific improvements to wellbeing: Increased ability to communicate Greater ability to respond to people and situations Increased ability to express thoughts and emotions Became helpful towards others Deep pleasure and enjoyment Greater sense of purpose

14. Improvements in function Improved ability to recognise their picture hold and operate the Rumpelstiltskin tool follow instructions

15. Unveiling Ceremony

16. Ceramic Stories Art Club A grant was sought to fund the artist, the project co-ordinator, and art materials for scrapbooking and ceramics The aim of the project was to promote wellbeing in people with dementia who had shown some signs of illbeing or depression

17. Process Invitation, welcome and introduction Name badges (memory aids) Started with morning tea (to facilitate conversation, friendships) Life story albums showing themes to stimulate the club members’ dreams, memories and feelings

18. Flora the freedom fighter

19. The secret ingredients

20. Spark of Life applied to the arts Key principles to success: Lead by following The three step rule Shift, share, shine Use of rituals

21. Key principles for facilitators Shifting focus Sharing their heart Shining their light

22. Use of rituals Inviting ritual Greeting and welcoming ritual Opening ritual Ending ritual

23. Outcomes: reduction in signs of depression

25. Outcomes: Wellbeing

26. Conclusion Creative expression through different media provides a powerful way to promote wellbeing, satisfaction with life, friendship, and being able to express their true selves The art work that people with dementia produce gives us new insights to the abilities and potential within each person The skills of the facilitators are vital to the success of creative expression programs

27. For further information Websites: www.cecd-society.org www.dementia-activities.com www.dementiacareaustralia.com Email: hilary@dementiacareaustralia.com